5 1 form5fink.txt FORM 5 FILING UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). (X) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person FINK, MARVIN 7610 MIRAMAR ROAD, SUITE 6000 SAN DIEGO, CA 92126-4202 2. Issuer Name and Ticker or Trading Symbol RF INDUSTRIES, LTD (RFIL) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 10/01 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) DIRECTOR 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
----------------------------------------------------------------------------------------------------------------------------------- Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | -----------------------------------------------------------------------------------------------------------------------------------| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Ownership |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities | Form | Beneficial Ownership| | | | (Inst.3,4 and 5 | Beneficially | Direct(D)or| | | | | | | A/| | Owned at the | Indirect(I)| | | Date |Code|V| Amount | D | Price | end of Issuer's | (Instr.4) | | | | | | | | | Fiscal Year | | | -----------------------------------------------------------------------------------------------------------------------------------| ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
FORM 5 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, covertible securities) -----------------------------------------------------------------------------------------------------------------------------------| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | |Exer-|ation| |Amount or | |Owned at |ire| | |Secu- | | | | |cisa-|Date | |Number of | |End of |ct | | |rity |Date |Code | (A) | (D) |ble | | Title |Shares | |Year |(I)| | -----------------------------------------------------------------------------------------------------------------------------------| STOCK OPTION $2.26 10/ A3 15,165 10/ 10/ COMMON 15,165 -0- D 31/ 31/ 31/ 2001 2002 2011 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses:
/s/ Marvin Fink March 14, 2002 --------------------------------- ------------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, SEE Instruction 6 for procedure.